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Infant mortality and public policy.

R Gaiha, M Spinedi

    Public Finance = Finances Publiques
    |January 1, 1993
    PubMed
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    Reducing child mortality requires more than income; public policy, maternal care, and female literacy are crucial. Investing in female education and health services is cost-effective for developing nations.

    Area of Science:

    • Public Health
    • Development Economics
    • Demography

    Background:

    • Conventional poverty measures like the head-count ratio inadequately represent deprivation in developing countries.
    • Infant and child mortality rates remain critical indicators of well-being and development progress.
    • Public policy plays a significant role in addressing health disparities and mortality outcomes.

    Purpose of the Study:

    • To analyze progress in reducing infant and child mortality in developing countries.
    • To identify key factors beyond income influencing child survival.
    • To advocate for policy re-prioritization for cost-effective public spending.

    Main Methods:

    • Analysis of factors contributing to infant and child mortality reduction.
    • Examination of the independent roles of maternal care, health services, and female literacy.
    Keywords:
    Child Mortality--prevention and controlCost EffectivenessDemographic FactorsDeveloping CountriesEconomic FactorsEducational StatusEvaluationEvaluation IndexesExpendituresFinancial ActivitiesInfant Mortality--prevention and controlLiteracy--womenMortalityMortality DeterminantsPolicyPopulationPopulation DynamicsQuantitative EvaluationSocioeconomic FactorsSocioeconomic Status

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  • Assessment of public policy interventions and their impact on mortality rates.
  • Main Results:

    • While income is a factor, maternal care and access to basic health services significantly impact child survival.
    • Female literacy, used as a proxy for mother's literacy, demonstrates a substantial negative effect on infant and child mortality.
    • Public policy interventions focusing on health and education are vital for mortality reduction.

    Conclusions:

    • Effective strategies for reducing infant and child mortality require a multi-faceted approach.
    • Promoting female literacy and improving access to healthcare are critical, cost-effective public policy interventions.
    • Reordering educational and health expenditure priorities can enhance public spending efficiency and improve child survival rates.